| NPI | 1861848061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: SD 15145) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX T4808) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA 20A19650) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX T4808) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2024-07-29 |